Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William T Havens, PA

Individual provider Medical Physician Assistant · NPI 1831182898

William T Havens, PA is a Physician Assistant in Bloomington, Indiana. Qualified in 1998, 28 years ago. Practices with Dermatology Center of Southern Indiana PC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and New York.

Years since qualifying
28
Licensed in
IN, NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1200 S Rogers St
Bloomington, IN 47403-4792
Phone: (812) 339-6434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1625 O St, Bedford, IN 47421-4116 — (812) 339-6434

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10000917A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 009943 (NY)

Record details

NPI number1831182898
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Dermatology Center Of Southern Indiana Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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